由社区机构工作人员提供的痴呆症护理计划的可接受性和有效性
Laura N Gitlin1, Jill Cigliana2, Melissa J Krauss3
1AgeWell Collaboratory, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.
The Gerontologist
|May 21, 2024
概括
在他们的环境中照顾人民 (COPE) 计划在社区环境中表现出强大的接受度和有效性. 这种痴呆症护理干预改善了护理人员的福祉,并减少了痴呆症患者的健康事件.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 痴呆症护理研究研究
背景情况:
- 很少有基于证据的痴呆症护理计划被整合到社区机构中.
- 在他们的环境中照顾人们 (COPE) 计划为社区的痴呆症护理提供了一个潜在的解决方案.
- 本研究评估了由社区机构工作人员提供的COPE计划的可接受性和有效性.
研究的目的:
- 评估COPE计划在痴呆症患者及其照顾者的接受度.
- 确定COPE计划在改善痴呆症患者健康结果和护理人员福祉方面的有效性.
- 为了比较COPE程序的面对面与虚拟/混合交付的好处.
主要方法:
- 一个测试前/测试后的设计,采用在基线,三个月完成和六个月后续收集的数据.
- 该COPE计划由职业治疗师和社会工作者在两个机构地点交付.
- 评估包括痴呆症护理计划的可接受性,护理人员报告的挑战,患有痴呆症的健康事件的人以及护理人员的福祉.
主要成果:
- 招收了271个二,其中90.8%完成了COPE计划.
- 护理人员报告说,他们的信心有所提高,情绪不佳有所减少,对计划的满意度很高.
- 与基线相比,患有痴呆症的人体验到的健康事件较少,再住院风险较低,尽管功能依赖性增加;护理人员的福祉和准备有显著改善.
结论:
- 对于基于社区的痴呆症护理来说,COPE计划是高度可接受和有效的.
- 该计划为家庭带来了切实的改善,不管分娩方式如何 (亲自或虚拟/混合).
- 将COPE等基于证据的计划整合到社区机构中,对于支持痴呆症患者及其照顾者至关重要.
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